The routine use of chest radiograph in infants with bronchiolitis increases health costs and can often unnecessarily expose the patient to radiation.. The variables registered were age, sex, time since onset, respiratory rate, temperature, asymmetry on auscultation, oxygen saturation and the virus identified. A chest radiograph was obtained and the need for admission was evaluated before and after obtaining the results.. No differences were found between children with and without infiltrate in age at presentation, sex, disease duration, respiratory rate or identified virus. Most infants presenting with bronchiolitis had a normal chest radiograph. In most infants with bronchiolitis, the absence of fever and hypoxia are good predictors of normal chest radiographs..

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Recurrent chronic parotiditis in childhood: An update of the literature. Santiago, Chile. Correspondencia a:. El enfoque actual del tratamiento es diverso. Its diagnosis is mainly clinical, but it relies on imaging tests. The current treatment approach is diverse. The aim of this article is to update the clinical features, complementary tests, etiopathogenic models and therapeutic protocols of this disease.

The filters used were human patients, up to 18 years old, with abstract. Articles published in English, Spanish or Portuguese until were included. The exclusion of the remaining articles was due to language, access to the article or absence of relationship between the article and the proposed revision. The multidisciplinary asses of patients with RCCP is considered the appropriate treatment. Its diagnosis is clinical but it relies on imaging tests, such as echography and sialography.

However, there would be proper results with intraglandular lavage with physiological solutions without the need for a sialendoscope. Keywords: Recurrent childhood parotiditis, parotid glands. Su prevalencia es desconocida 2,8. Por otra parte, Leerdam et al proponen 2 mecanismos. Usualmente los pacientes presentan fiebre y malestar general. Puede presentarse unilateral o bilateralmente 1,,7,8,12,, Figura 1.

Exudado purulento localizado en la salida del conducto de Stennon o parotideo. Figura 2. Su desventaja es que es operador dependiente. Se describen tres etapas en el desarrollo de la enfermedad. Existe otro cuadro infeccioso que cursa con parotidomegalia que se denomina Parotiditis bacteriana aguda. La saliva tiene aspecto normal, y hay compromiso moderado del estado general Pueden generarse infecciones secundarias que producen recurrencias En 8 pacientes Figura 5. No obstante, es importante mencionar que estos estudios fueron realizados principalmente en adultos A esto deben incluirse lavados intraglandulares cada 3 meses.

Capaccio et al usando un protocolo similar, obtuvo que 9 de 14 pacientes no presentaron recurrencia de los episodios, en un promedio de 20 meses 2. Juvenile recurrent parotitis: a new method of diagnosis and treatment. Modern management of juvenile recurrent parotitis. J Laryngol Otol. Virology of infantile chronic recurrent parotitis in Santiago de Chile. J Med Virol. MRI and MR sialography of juvenile recurrent parotitis. Pediatr Radiol. Recurrent parotitis of childhood. J Paediatr Child Health.

Autosomal dominant juvenile recurrent parotitis. J Med Genet. Juvenile recurrent parotitis: sialendoscopic approach. Arch Otolaryngol Head Neck Surg. Juvenile recurrent parotitis: clinical, sialographic and ultrasonographic features. Int J Paediatr Dent. Report of a rare case of juvenile recurrent parotitis and review of literature. European Archives of Paediatric Dentistry. Recurrent parotitis. Arch Dis Child ; Arch Dis Child.

Parotitis acute recurrent in the child. Rev Chil Pediatr. Infantile recurrent parotitis: follow up study of five cases and literature review. Braz J Otorhinolaryngol. Clinical, microbiological aetiology and therapeutic aspects in infantil chronic recurrent parotitis PCRI. Molecular alterations of parotid saliva in infantile chronic recurrent parotitis. Pediatr Res. Recurrent parotitis in selective IgA deficiency. Pediatr Allergy Immunol. Mandel L, Bijoor R. Imaging computed tomography, magnetic resonance imaging, ultrasound, sialography in a case of recurrent parotitis in children.

J Oral Maxillofac Surg. The Laryngoscope. Sialendoscopy for the diagnosis and treatment of juvenile recurrent parotitis. Treatment of chronic recurrent juvenile parotitis using sialendoscopy. Acta Otolaryngol. Sialendoscopy in juvenile recurrent parotitis: a review of the literature. Acta Otorhinolaryngol Ital. Juvenile recurrent parotitis: a retrospective comparison of sialendoscopy versus conservative therapy. Baurmash HD. Chronic recurrent parotitis: a closer look at its origin, diagnosis, and management.

Chronic recurrent parotitis in childhood. An Esp Pediatr. The clinical picture of juvenile parotitis in a prospective setup. Acta Paediatr. Recurrent parotitis and sialectasis in childhood: clinical, radiologic, immunologic, bacteriologic, and histologic study.

Schorr B, Mandel L. Diagnosing Juvenile Recurrent Parotitis. Case Reports. The New York state dental journal. Marsman W, Sukhai R. Recurrent parotitis and isolated IgG3 subclass deficiency. European journal of pediatrics. Immunological studies in two children with recurrent parotitis. Is recurrent parotitis in childhood still an enigma? A pilot experience.

Nahlieli O, Baruchin AM. Endoscopic technique for the diagnosis and treatment of obstructive salivary gland diseases. Journal of oral and maxillofacial surgery. Clin Pediatr Phila. Aetiological and histological classification of sialadenitis. Rev chil pediatr. Rev Cub Reumatol. Pneumoparotid, a rare diagnosis to consider when faced with unexplained parotid swelling. Diagnostic and interventional imaging. Lieder A, Franzen, A. Management of primary malignant lymphoma of the parotid gland in a series of seven hundred and forty-five patients.

Clin Otolaryngol.


Virus sincitial respiratorio (VSR): cuando el problema es más que un simple resfriado

Sin embargo, muchos virus diferentes todos muy contagiosos pueden causar bronquitis aguda. Esto sucede si tocas algo que tiene los virus y luego te tocas los ojos, la nariz o la boca. John M. Wilkinson, M. Se puede reimprimir una sola copia de estos materiales para usar en forma personal y no comercial.


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